The Chrysalis Center, Inc | |
2121 Corporate Square Blvd Ste 124-125 Jacksonville FL 32216-0309 | |
(954) 587-1008 | |
Not Available |
Full Name | The Chrysalis Center, Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 2121 Corporate Square Blvd Ste 124-125, Jacksonville, Florida |
Authorized Official Name and Position | Jo-ann Prisco (VP OF CONTRACTS AND PAYOR RELATIONS) |
Authorized Official Contact | 7722141010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Chrysalis Center, Inc 3800 W Broward Blvd Ste 100 Fort Lauderdale FL 33312-1018 Ph: (954) 587-1008 | The Chrysalis Center, Inc 2121 Corporate Square Blvd Ste 124-125 Jacksonville FL 32216-0309 Ph: (954) 587-1008 |
NPI Number | 1477122836 |
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Provider Enumeration Date | 06/21/2021 |
Last Update Date | 06/21/2021 |
Certification Date | 06/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477122836 | NPI | - | NPPES |
075055206 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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